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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 7) – South Korea

South Korea is a truly amazing country and has, over the last thirty years, transformed into one of the most dynamic and innovative economies in the world.

How I Do It - Postoperative care following aesthetic breast surgery – treatment of capsular contracture with Celluma low level light therapy

Breast augmentation is one of the most popular cosmetic surgical procedures performed in the world. Capsular contracture is a common complication and major contributor to dissatisfaction. It is thought to be due to a chronic inflammatory process in the implant...

Obituary: Michael Felix Freshwater, MD 1948-2016

Revelation By Robert Frost (my favourite American Poet) WE make ourselves a place apartBehind light words that tease and flout,But oh, the agitated heartTill someone find us really out. ‘Tis pity if the case require(Or so we say) that in...

Electrochemotherapy for BCCs

A remarkable account of an effective non-surgical treatment for basal cell carcinomas (BCCs). Electrochemotherapy (ECT) consists of making the area surrounding the lesion temporarily permeable using electric pulses (under local anaesthesia), then bleomycin is administered to the area. The treatment...

Aesthetic and Reconstructive Breast Surgery: solving complications and avoiding unfavourable results

At just over 200 pages this American textbook features chapters covering aspects of aesthetic breast surgery including developmental asymmetry, mastopexy, gynaecomastia and breast reduction although a chapter on breast augmentation is conspicuous by its absence.The bulk of the text is...

Management of the thick skinned nose

The authors briefly present a surgical pearl that helps addressing the overly thick nasal skin envelope in cosmetic rhinoplasty. In order to optimise cosmetic results in thick-skinned noses, contour enhancement is best achieved by elongating and projecting the skeletal framework...

ERAS in microvascular breast reconstruction

Enhanced recovery after surgery (ERAS) is an important concept in today’s accountancy dominated hospitals, effectively decreasing the length of stay (LOS) of postoperative patients. This is something that surgeons will have to consider – or have protocols foisted upon them...

The effect of skin graft contracture when using artificial dermis

This is a report of a prospective clinical trial performed in a single centre in Seoul, South Korea. The group attempted to observe the change in size of skin grafts applied to an artificial dermal substitute (matriderm). Two groups of...

Allogenic submandibular gland transplantation

The authors discuss and report success with an elegant but difficult solution to a difficult problem. Dry eyes are a difficult problem and incidence increases with age. It can lead to severe reduction in the quality of life of patients....

Male pattern baldness is not all in the genes

Gentlemen, be advised (if it’s not already too late) that you may be able to influence your chances of going bald. The authors of this study compared the patterns of baldness in 92 pairs of identical twins and correlated these...

Proprioception and ptosis

This is a small prospective study investigating the effect of proprioceptive factors on upper lid height. Eight unilaterally anophthalmic patients with ocular prostheses and normal lid heights had standardised photographic measurements taken of their eyelid and brow positions. Three sets...

Intravenous paracetamol in orbital surgery

This is a large prospective study of the effect of intravenous acetaminophen (paracetamol) in orbital surgery. The study included three groups of 50 patients. One group had no i.v. paracetamol, the second 1g of i.v. paracetamol within 30 minutes of...